Individual provider Active NPI

Renee Poole, MD

  • Family Medicine Physician
  • Pasadena, CA
National Provider Identifier
1821268434
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C129318 Issued in CA
Practice address
988 S Fair Oaks Ave
Pasadena, CA 91105-2626
Phone
(626) 799-4191
NPI assigned
Mar 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-119013 IL
Family Medicine Physician 207Q00000X C129318 CA Primary

Addresses

Primary practice location

988 S Fair Oaks Ave
Pasadena, CA 91105-2626

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380

Other identifiers 1

IdentifierTypeStateIssuer
036-119013OtherILIL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151024000103 CA Practitioner - Family Practice 3577758507 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Saint Louis University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthcare Partners Affiliates Medical GroupGroup PAC ID 7315842002, 775 clinicians

Practice addresses (Care Compare)

675 S Arroyo Pkwy
Pasadena, CA 91105-3263
Phone (626) 585-4120

824 E Carson St
Suite 104
Carson, CA 90745-2262
Phone (310) 830-9706

988 S Fair Oaks Ave
Pasadena, CA 91105-2626
Phone (626) 799-4194

PO Box
Suite 35380
Las Vegas, NV 89133-5380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C129318CAMDFamily Medicine Physician
036-119013ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Valley Health Corporation CurrentSince Sep 5, 2015 Accepting new patients
Northeast Valley Health Corporation CurrentSince Sep 5, 2015 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jan 8, 2019 Accepting new patients
Northeast Valley Health Corporation Current Accepting new patients
Valley Community Healthcare CurrentSince Jun 6, 2016 Accepting new patients
Valley Community Healthcare CurrentSince Jun 6, 2016 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Sep 28, 2020 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Sep 28, 2020 Accepting new patients
Usc Care Medical Group, Inc Family Medicine CurrentSince Jan 8, 2019 Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine Current Accepting new patients
Memorial Medical Group Inc Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

1520 San Pablo St
Ste 1300
Los Angeles, CA 90033
Phone (323) 442-5900

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

7843 Lankershim Blvd
North Hollywood, CA 91605
Phone (818) 765-8656

6801 Coldwater Canyon Ave
North Hollywood, CA 91605
Phone (818) 301-6307

12756 Van Nuys Blvd
Pacoima, CA 91331
Phone (818) 896-0531

988 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 582-7980

675 S Arroyo Pkwy
Pasadena, CA 91105
Phone (626) 585-4120

675 S Arroyo Pkwy
Ste 420430
Pasadena, CA 91105

1172 N Maclay Ave
San Fernando, CA 91340
Phone (818) 898-1388

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rpoole207385@westdirect.optum.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1821268434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "988 S FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052626",
            "telephone_number": "626-799-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "RENEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-11",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-119013",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C129318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL LICENSE",
            "identifier": "036-119013",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.